Teen Leaders Application Applicant Name* First Middle Last Suffix Preferred NamePreferred NameHome Information* Street Address City State ZIP / Postal Code Home PhoneCell PhoneEmail* Parent/Guardian InformationParent/Guardian #1's Name* First Last Parent/Guardian #1's Contact Phone*Parent/Guardian #1's Email* Parent/Guardian #2's Name First Last Parent/Guardian #2's Contact PhoneParent/Guardian #2's Email School InformationName of School*Year you will graduate from high school*Principal's Name*Gender Female Male Birth Date MM slash DD slash YYYY Please list in order of importance to you up to five school, volunteer, religious, social, athletic, scouting, or other activities and organizations in which you have participated during the last four years. Please tell us when you were involved and what your activities were with the organizations.1.2.3.4.5.If you haven’t had the opportunity to participate in activities/organizations, please tell us why.List any accomplishments, awards, honors or recognitions for academic, school, religious, or community related activities you have received.List any part-time or full-time job experience, paid or volunteer, and briefly list your duties and responsibilitiesExplain what your school responsibilities (other than class work) are for this year.What do you consider one of your strengths?What do you consider a weakness or shortcoming that you would like to overcome, and why?Who is someone you admire? Why?What do you do for fun?Why are you applying for OMRF Teen Leaders in Philanthropy?What else would you like to tell us about yourself?Please tell us how you heard about OMRF Teen Leaders in Philanthropy: Friend Parent Counselor, teacher, or other school staff Brother or sister Youth Group member Other, please specify below Other:PhoneThis field is for validation purposes and should be left unchanged.
